Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $337.90 / $337.90 / $337.90	Facility		$337.90	$337.90	$337.90
Aetna Facility/Professional Professional Modifier Low / Median / High Price $216.90 / $216.90 / $275.47	Professional		$216.90	$216.90	$275.47
Cigna Facility/Professional Facility Modifier Low / Median / High Price $212.42 / $216.90 / $216.90	Facility		$212.42	$216.90	$216.90
Cigna Facility/Professional Professional Modifier Low / Median / High Price $216.90 / $216.90 / $216.90	Professional		$216.90	$216.90	$216.90
Molina Facility/Professional Professional Modifier Low / Median / High Price $212.00 / $345.56 / $345.56	Professional		$212.00	$345.56	$345.56
Providence Facility/Professional Facility Modifier Low / Median / High Price $216.90 / $216.90 / $275.47	Facility		$216.90	$216.90	$275.47
Providence Facility/Professional Professional Modifier Low / Median / High Price $216.90 / $216.90 / $265.14	Professional		$216.90	$216.90	$265.14
United Facility/Professional Professional Modifier Low / Median / High Price $216.90 / $216.90 / $229.91	Professional		$216.90	$216.90	$229.91